Current clinical guidelines for albumin use in decompensated cirrhosis recommend the use of intravenous albumin infusions for management of ascites-related symptoms and paracentesis (removal of ascitic fluid) and for the management of SBP, renal dysfunction and variceal bleeding.3 Routine albumin use is not recommended for the management of non-SBP infections.3 This evidence concerns the gene ALB and varicose disease.